SHAWNNIECE TENAY PEARSON
NPI 1477076958
Psychologist - Health Service in Buffalo, NY

Active since July 17, 2017

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Jul 17, 2017 (2 updates tracked since 2017).

About Shawnniece Tenay Pearson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAWNNIECE TENAY PEARSON (NPI 1477076958) is an individual health service provider in Buffalo, New York, licensed in New York (294304071) and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1477076958
Entity TypeIndividualFemale
Primary Taxonomy103TH0100X
Provider Legal NameSHAWNNIECE TENAY PEARSON
Location Address45 A STBuffalo, NY 14211-3203
Mailing Address45 A StreetBuffalo, NY 14211 · (716) 370-0292
Sole ProprietorNo
Enumeration DateJuly 17, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1477076958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · Health ServiceBehavioral Health & Social Service Providers
Taxonomy Code103TH0100X
License Licensed in NY · 294304071
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
45 A ST, Buffalo, NY 14211

Other Identifiers 1

Medicaid294304071NY

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shawnniece Pearson's NPI number?

The NPI number for Shawnniece Pearson is 1477076958. It was assigned to this individual provider in the NPPES registry on July 17, 2017.

Where is Shawnniece Pearson located?

Shawnniece Pearson practices at 45 A St, Buffalo, NY 14211. The listed phone number is (716) 370-0292.

What is Shawnniece Pearson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health Service, with taxonomy code 103TH0100X.

When was this NPI record last updated?

The NPPES record for Shawnniece Pearson was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.